Organization
THE BOARD OF TRUSTEE FOR THE UNIVERSITY OF ILLINOIS
Active
Parent organization
UNIVERSITY OF ILLINOIS CHICAGO PHYSICIAN GROUP (UICPG)
Other names
O'Hare Urgent Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ILLINOIS CHICAGO PHYSICIAN GROUP (UICPG)
Authorized official
RHEA BEGEMAN (DIRECTOR ADMINISTRATIVE OPERATIONS)
(312) 413-0002
Entity
Organization
Contact information
Practice address
10000 WEST O'HARE, TERMINAL 2, CHICAGO, IL 60660-0508
(773) 894-5100
Mailing address
7732 SOLUTION CTR, CHICAGO, IL 60677-7007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320685617
—
IL
05
—
036070836
—
IL
05
—
036081301
—
IL
05
—
036083148
—
IL
05
—
036114380
—
IL
05
—
324401923001
—
IL
05
—
338843610001
—
IL
05
—
355387038001
—
IL
05
—
359806839001
—
IL
05
—
361626360001
—
IL
05
—
593669702001
—
IL
Enumeration date
05/30/2017
Last updated
05/30/2017
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